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Care Empowered Pricing -

A Revolutionary Reference-Based Pricing Solution

Find Quality Care and Fair Pricing YOUR WAY

Building on our industry-renowned Balance Bill Resolution and compliance services, we now empower TPAs with technology-enabled provider selection and access support.

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Phia Ignite Repricing Engine Technology

Your market, knowledge, and clients combined with our Phia Ignite repricing engine put the power in your hands. With our all-encompassing database, we ensure that defensible claims payments are consistently calculated with pinpoint accuracy, reducing unnecessary risk while maximizing savings for our clients and their self-funded plans.

Our Technology

Our Support

Your Program

Provider Data and Selection Technology

Balance Bill Resolution

Your Market

Benchmarking

Independent Legal Representation

Your Knowledge

All-Encompassing Data

Balance Bill Safeguard Option

Your Clients

Provider Quality Metrics

Industry-Renowned
Compliance Service

Done Your Way

Our Technology

Provider Data and Selection Technology

Benchmarking

All-Encompassing Data

Provider Quality Metrics

Our Support

Balance Bill Resolution

Independent Legal Representation

Balance Bill Safeguard Option

Industry-Renowned Compliance Service

Your Program

Your Market

Your Knowledge

Your Clients

Done Your Way

It’s Time to Own Your Reference-Based Pricing Program Instead of Administering Someone Else’s

Get Started Now

Protected by The Phia Group

Leveraging more than a decade of experience, we provide Balance Bill Resolution, including independent legal representation, at no additional cost. Adding Balance Bill Safeguard ensures that Balance Bill claims payments are capitated.

Most Clients See Savings Between 10% and 50% Better Than Traditional Network Alternatives

"It's rare to have a team built like The Phia Group that can handle something from every avenue of the healthcare industry from plan documents to claim negotiations to member services and everything in between.”

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Bill Hoitt

Director of Sales
Crum & Forster

What You Can Expect with The Phia Group

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Innovative, industry-leading plan language that flawlessly supports the program.

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Plan defense and advocacy with CARE at the center of everything we do.

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Balance bill prevention with professional negotiations and provider sign-off.

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Documented and defensible payments integrated with our custom dispute resolution software.

The Phia Group is the industry’s most trusted partner for front-end plan design, setting the standard for cost containment services – now we’ve set the standard for reference-based pricing with our Care Empowered Pricing program.

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Member Education

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Access Support

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Selection Technology

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High-Quality & Justifiably Priced Care

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We combine everything needed to improve cost containment for self-funded plans while passionately supporting people. Our world-class Balance Bill Resolution and independent legal representation ensure that no one is left alone.

Growing savings

Higher Savings

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Lower Costs

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Unmatched Experience

Want to Learn More About Our Other Services?

The Phia Ecosystem

Our services work together—or individually—to help you recognize your full cost containment potential.

ICE

Your Partner for B2B Compliance and Business Solutions

Subrogation & Recovery Services

The Key to Unlocking Your Full Recovery Potential

PACE®

Industry-Renowned Protection Against Fiduciary Liability Arising from Final Level Appeals

Phia Unwrapped

Comprehensive and Technology-Driven Out-of-Network Repricing

Care Empowered Pricing

Next Level Reference-Based Pricing with Quality Care and Fair Pricing Done Your Way

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Partner with The Phia Group for:

  • Compliance Peace of Mind
  • Plan Document Language
  • Claims Issue Resolution
  • Vendor Review
  • Technology-Powered Solutions
  • Access to Legal Expertise
  • Out-of-Network Repricing
  • Maximized Claim Recovery
  • Self-Funded Plan Advice
  • The Highest Level of Care
Kerri + Family

Joined The Phia Group in 2012

When Plans Win, So Do Families

We believe that everyone should have access to high-quality and justifiably priced care.

Contact us today to get started.

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